October 29, 2019
Liver Transplant Claims: Possible Overpayment
Inpatient Part A claims for liver transplants processed after January 1, 2017, and before November 18, 2019, may be overpaid because Medicare Administrative Contractors (MACs) did not request medical records due to a system error. MACs will adjust these claims and request medical records.
Hospitals: It is important to provide the records. If records are not received, the claim will be considered overpaid, and the over payment will be recovered.